A nurse is caring for a female client in a provider's office.

Exhibits

The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.

“If I experience black stools, I should notify my provider."

"l should avoid taking antacids while on this medication."

"l should take my medications on an empty stomach."

"l should rinse my mouth after taking this medication."

"l should take this medication with orange juice. "

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Foods with vitamin C improves iron absorption , black stools are expected on iron supplements and do not need reporting, Iron stains teeth and rinsing the mouth after intake is necessary. Gastric acid enhance iron absorption and antacids should be avoided. Taking iron on an empty stomach increases risk of GI side effects

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Correct Answer is A

Explanation

PT measures the time it takes for blood to clot, and it is particularly relevant for clients taking warfarin because warfarin works by inhibiting the synthesis of certain clotting factors, including factors II, VII, IX, and X, which are involved in the PT pathway. Monitoring PT levels helps ensure that the client is receiving an appropriate dose of warfarin to prevent clot formation without causing excessive bleeding.
B. Total iron-binding capacity (TIBC) is a test used to assess iron levels in the blood and is unrelated to warfarin therapy.
C. WBC (White Blood Cell count) is a test used to assess the number of white blood cells in the blood and is unrelated to warfarin therapy.
D. PTT (Partial Thromboplastin Time) is a test used to evaluate the intrinsic and common pathways of the coagulation cascade. It is used in the monitoring of heparin anticoagulant therapy. It is not typically used to monitor warfarin therapy

A. Blurred vision B. Insomnia C. Metallic taste D. Tachypnea

Correct Answer is A

Explanation

Carbamazepine is an antiepileptic medication commonly used to treat seizures. One of the potential adverse effects of carbamazepine is blurred vision. This occurs because carbamazepine can affect the function of the eyes, leading to changes in vision. Clients taking carbamazepine should be advised to report any changes in vision, such as blurriness or difficulty focusing, to their healthcare provider promptly.

B,C,D- are not related to carbamazepine use

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?

A nurse is caring for a client who has a gonococcal infection and has been prescribed an 1M injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?

A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?